OBS: Antenatal Care -- Rhesus D Screening Flashcards
1
Q
Speific questions to ask if Rhesus D is -ve
A
Sensitization events (previous pregnancy, miscarriage, APH, invasive diagnostic procedures, abdominal injury)
Rhesus status of baby in previous pregnancy
Any anti-D Ig received in previous pregnancy
Any history of haemolytic disease of newborn in previous pregnancy
2
Q
Investigation after Rhesus D -ve
A
anti-D antibody titre (repeat at 28w)
if non-isoimmunised: give routine anti-D prophylaxis at 28w
3
Q
Management of RhD+ baby in isoimmunised mother
A
Manage in tertiary centre
USG Monitoring for anaemic features & hydrops fetalis
Intrauterine blood transfusion if severe anaemia
Early delivery at 34w
4
Q
Causes of fetal anaemia
A
Thalassaemia major
Hemolytic disease of newborn
TTTS donor
Parvovirus infection in mother
